2019 Southern Illinois Raceway Club Membership Form
Club Membership is valid from January 1-December 31 of each year. Membership is not active until $20 dues have been received per member. Once you receive the confirmation message, go below the confirmation box and type in the name of the person who's membership you are paying for and Add it to your PayPal cart. If you have multiple memberships you are paying for you, add all to the PayPal cart and pay in one transaction. Keep your receipt of payment through PayPal in case there is a question later on if you have paid.
First Name *
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Last Name *
Your answer
Mailing Address *
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City *
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State *
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Zip *
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Email *
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Phone *
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